The Use of a Fabricated Endotracheal Tube During an Acute Massive Pulmonary Hemorrhage: A Case Report.


Journal

A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112

Informations de publication

Date de publication:
01 Jun 2023
Historique:
medline: 19 6 2023
pubmed: 15 6 2023
entrez: 15 6 2023
Statut: epublish

Résumé

A massive pulmonary hemorrhage is an emergency that can lead to airway compromise and cardiovascular collapse. The goals of airway management are to isolate and protect the nonbleeding lung while providing a route for interventions to diagnose and control the bleeding site. We present a case of an adult male with a lung mass who underwent a bronchoscopy and cryobiopsy that was complicated by a massive pulmonary hemorrhage. We report the successful use of an elongated fabricated end-to-end endotracheal tube to manage his airway during this time-critical situation.

Identifiants

pubmed: 37319367
doi: 10.1213/XAA.0000000000001678
pii: 02054229-202306000-00001
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e01678

Informations de copyright

Copyright © 2023 International Anesthesia Research Society.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

Radchenko C, Alraiyes AH, Shojaee S. A systematic approach to the management of massive hemoptysis. J Thorac Dis. 2017;9:S1069–S1086.
Yendamuri S. Massive airway hemorrhage. Thorac Surg Clin. 2015;25:255–260.
Hetzel J, Eberhardt R, Petermann C, et al. Bleeding risk of transbronchial cryobiopsy compared to transbronchial forceps biopsy in interstitial lung disease—a prospective, randomized, multicentre cross-over trial. Respir Res. 2019;20:140.
Hennon M, Demmy TL. VATS for advanced T status (large tumors, mediastinal invasion and vascular control). Video-Assisted Thoracic Surgery. 2018;3:50–50.
McLaurin S, Whitener GB, Steinburg T, et al. A unique strategy for lung isolation during tracheobronchoplasty. J Cardiothorac Vasc Anesth. 2017;31:731–737.
Zhou G-W, Zhang W, Dong Y-C, et al. Flexible bronchoscopy-induced massive bleeding: a 12-year multicentre retrospective cohort study. Respirology. 2016;21:927–931.
Bernasconi M, Koegelenberg CFN, Koutsokera A, et al. Iatrogenic bleeding during flexible bronchoscopy: risk factors, prophylactic measures and management. ERJ Open Res. 2017;3:00084−2016.

Auteurs

Todd A Schultz (TA)

From the Department of Anesthesiology, Roswell Park Cancer Institute, Buffalo, New York.

Kathleen J Lee (KJ)

From the Department of Anesthesiology, Roswell Park Cancer Institute, Buffalo, New York.

Max Kohen (M)

Department of Anesthesiology, Beth Israel Lahey Hospital and Medical Center, Burlington, Massachusetts.

Todd Demmy (T)

Department of Thoracic Surgery and Oncology, Roswell Park Cancer Institute, Buffalo, New York.

Nathaniel Ivanick (N)

Department of Thoracic Surgery and Oncology, Roswell Park Cancer Institute, Buffalo, New York.

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